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178822 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1 L ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF C OCK AMOUNT: $213.23 CARMEL, INDIANA 46032 C/O PAM LISTER o CHECK NUMBER: 178822 CHECK DATE: 10/28/2009 DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 11.54 FOOD BEVERAGES 1207 4239099 33.89 OTHER MISCELLANOUS 1207 4356007 167.80 GOLF HARDGOODS Home Team Golf, Inc. 2009 Invoice 2315 Conner St Date Invoice Noblesville, IN 46060 10/16/2009 10160902 Bill To Ship To Brookshire Golf Course Brookshire Golf Course P.O. Number Terms Rep Ship Via F.O.B. Project 10/16/2009 Quantity Item Code Description Price Each Amount I Hybrid Cleveland Hybrid Clubs 85.80 85.80T 1 Wedge Cleveland Wedges 82.00 82.00T Out -of -state sale, exempt from sales tax 0.00% 0.00 Total $167.80 '4 by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) .me/ So P Aj S /v o U1 6 9da 014' JPd Total a?lg °o� I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. r ALLOWED 20 IN SUM OF ?%g. o 2 g ON ACCOUNT OF APPROPRIATION FOR 6cli Ee-W 1 Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or d 7 S bill(s) is (are) true and correct and that the materials or services itemized thereon for 2 3 907 SV which charge is made were ordered and received except 00 1 20 Y i nature Cost distribution ledger classification if 11itle- claim paid motor vehicle highway fund i t Walma rt®� Save money. Live better. WE SELL FOR LESS MANAGER MIKE SMITH 317 844 0096 ST# 1601 OPtt 00004608 TE# 16 TR# 04212 8)(10 FRAME 0032231AR520 3.00 X 8)(10 FRAME 003223lv6520 3.00 X 8X10 FRAME 003223108520 3.00 X 8X10 FRAME 003223108520 3.00 X PROPOSAL DVD 078693679777 19.96 X T -PINS SZ28 007287911989 T PINS SZ28 007287911989 1.97 T -PINS SZ28 007287911989 1.97 ROASTER OVEN 068113169152 T SUBTOTAL 74.87 TAX 1 7.000 X 5.24 TOTAL 80.11 DEBIT TEND 80.11 CHANGE DUE 0.00 EFT DEBIT PAY FROM PRIMARY ACCOUi, 3803 80.11 TOTAL PURCHASE REF 928800568665 N;:TWORK ID. 0090 APPR CODE 787737 10/15/09 16:44:52 ITEMS SOLD 9 TC8 6559 7856 6288 9878 1871 We want sou to Pay the lowest Price. Ask obou' our Price match Policy. 1 5/09 16:44:53 i� ;�;f; t I1 �1 i .fl�'1 ail I1!;t:' '1t;; Ill U�Ga�. i r t .ill'' ✓'iyi" 1 F,' f :i�� i N� �L1A�' I i a'.'Lf' '''..t' i 1 ?CI ^4� l.1 (i r m;: OG.'. 3U(! ;gib,„ 1 i i��,il Ali u...., m ;E:1 ;err e:f u� .s. i �1 i_ O)TARGET EXPECT MORE. PAT LESS: CARMEL 317 -876 -0809 10/15/2009 06:19 PM EXPIRES 01/13/10 I��I�I ��I I� I I I�IIIIII�I HOME 072040110 RIVAL T $27.98 SUBTOTAL- $27.98 TAX EXEMPT SALE $0.00 TOTAL $27.98 3803 DEBIT TOTAL PAYMENT $21.98 Target Pharmacy We're here to help! gam 9pm M -F 9am 6pm Sat 9am 6pm Sun REC#2--9288- 1366 -0086- 9425 -5 VCD #751- -282 -640 ScaVE' 5 Ce1 1ts E?Vf_ f —I t 1 1110 VOLJ LIS@ a Llsab 1 E' bag Win a $5000 GiftCaral Tell us about your last shopping experience at Target for a chance to win a $5000 Target GiftCard! Locate the Gift Registry Kiosk and select GUEST SURVEY. Or at home, log onto: www_. T<, get.. corn /survey User ID: 7071 1863 4991 Password: 305 745 Cuentanos acer dv to ultimo+ P.xperiencia de comps (,in Target y tends:: oportuni dad de ganar i tar,jeta de regcd o Target Gii and por valor de $5000. En el kiosco del registro de regalos, selecc::una "Guest Survey" o visita www.tar•get.coni desde to casa e ingresa 1a contraseha y N° de r.lsuario de arriba Normas d!sponibles en °Servicio cd ro ed" ONE WINNER! Guest must be 18 or older to enter. Sweepstakes runs from 10/01/2009 through 01/31/2010 Complete rules at Guest Service Desk and Target.com /survey. (Target team and family not eligible.) For the full ret_ir policy, lol u„ klrpet.ccn OF i w, store. For a gift rec;��n ',ring this receipt back to any Target i()re within 90 days. Ask about receipt look up. A -1 Save A"." A _ce� 6aie6 9© days is �regazorre f6r AL rretuvns exchanges. ED may he rrequived. All returns exchanges must be new, unused and have original packaging and accessories. Some items cannot be returned if opened. For the full return exchange policy, log on toTarget.com or visit any store. For a gift receipt, bring this receipt back to any Target store within 90 days. Ask about receipt look up. A -1 W O Save AL .1ece, 1is. A vecei t dated within 90 flays is rrequ� Ted Dv ALL vetta vng exchanges. E® may he vex uired. All returns exchanges must be new, unused and have original packaging and accessories. Some items cannot be returned if opened. For the full return exchange Policy, log on to Target.com or visit any store. For a gift receipt, bring this receipt WMALIA #206 CeS", E*,. 121,51,11 sr. WMEL, IN I&M, KAMM-4372 IS MR 1 Mh ARnqG fqk I qq I of L 1 1 tA i '1 1 iz-,'Ii! id WhIL NHV-!;H; :i; 1 69 0j.1